Active Ingredient

Benzalkonium Chloride 0.1%

Purpose

Skin Antimicrobial

reduces amount of bacteria on hands

For external use only.

When using this product avoid contact with eyes. In case of eye contact, flush eyes with water.

Stop use and ask a doctor if irritation or redness develops, or if condition persists for more than 72 hours.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Water, Lauramine Oxide, Glycerin, PEG-120 Methyl Glucose Dioleate, Fragrance, Blue 1

Product Label - 1000 mL Bag

FOAMY BLUE
benzalkonium chloride solution

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)
GLYCERIN (UNII: PDC6A3C0OX)
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)
PEG-120 METHYL GLUCOSE DIOLEATE (UNII: YM0K64F20V)
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)

Product Characteristics
Color	blue (dispensed as a light blue foam)	Score
Shape		Size
Flavor		Imprint Code
Contains

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:83188-405-04	1000 mL in 1 BAG; Type 0: Not a Combination Product	02/10/2023

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	505G(a)(3)	02/10/2023

Labeler - Pro Chem Solutions, Inc. (115976010)